A study conducted in the Republic of The Gambia found that adding screens to the windows and doors of houses can help reduce the number of malaria-carrying mosquitoes inside and prevent anaemia in children, CBCnews.ca reports (9/2). For the study, which was published in the journal Lancet, the "researchers used two methods to prevent mosquitoes from entering the houses. In the first, screens were attached to windows and doors, and holes in the eaves were closed. The second method was to place a net ceiling inside the house. They then set traps for the insects to enable them to count how many mosquitoes that made it through the screens, " according to a Durham University press release.
In the second of two reports, NPR examines how Minnesota provides lessons on how to create a more cost-effective health care delivery system. "Many agree that the [fee-for-service] system for doctors and hospitals doesn't work ... and is a major driver in rising health care costs. The health care bills before Congress may do little to change that. But on the state level, Minnesota may have found its own way to move doctors off of the fee-for-service treadmill." The unique relationship between David Tilford, the president and CEO of Minnesota's second-biggest health insurer Medica, and Mark Eustis, the head of Fairview Health Services, helped bring about change.
Forbes published a package of articles and opinion pieces called "Public Vs. Private Health Care, " which compares health care systems across Europe. "Most European countries provide near-universal health care for their residents, yet they spend between one-third to one-half what the U.S. spends on health care for its citizens, " Forbes reports. "France and Germany, which are widely viewed as having among the best health care systems in Europe, with few complaints about rationing of services and queuing, spend 11% and 10.4% of their economic output, respectively, on health care. The U.S., by comparison, expends 16% of its gross domestic product in this area, according to the Organisation for Economic Co-operation and Development.
An article published Online First and in a future edition of The Lancet reports that protecting houses with screening measures can substantially decrease both the numbers of malaria-carrying mosquitoes and the occurrence of anaemia related to malaria in children leaving in those homes. The article is the work of Dr Matthew J Kirby, Durham University, UK (now at Wageningen University, The Netherlands), and Professor Steve W Lindsay, Durham University, UK (now at the London School of Hygiene and Tropical Medicine [LSHTM], UK), and colleagues at the Medical Research Council's (MRC) Laboratories in The Gambia and the LSHTM. The study was funded by the MRC.
Trauma patients who sustain multiple fractures are often in serious condition when they arrive at the emergency department. A review article published in the September 2009 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) explains that trauma patients who have several orthopaedic injuries and are considered to be in unstable condition should only have a few hours of surgery when first arriving at the hospital. This principle is known as 'damage control'. The benefits of initially limiting time in the operating room for patients with life-threatening injuries include: less blood loss during surgery; fewer complications in the intensive care unit;
When reporting medical errors, patients' perceptions of their physicians' disclosure may be key to gaining their trust, according to researchers from the Johns Hopkins Bloomberg School of Public Health. However, a positive perception of the disclosure has little effect on the lawsuit risk a physician faces. Researchers examined volunteer responses to several videos depicting the disclosure of an adverse event along with variations in the extent to which a physician accepted responsibility. They found that a patient's perception of what was said was more important than what was actually said by the physician. In addition, researchers found that in this study a full apology and acceptance of responsibility by the physician in error was associated with better ratings and greater trust.